MERAKEY PHILADELPHIA (NPI# 1922625789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922625789 |
| Entity Type | Organization |
| Organization Name | MERAKEY PHILADELPHIA |
| Other Organization Name | NHS PHILADELPHIA |
| Practice Address |
1414 Shelmire Ave Philadelphia PA 19111-3314 |
| Mailing Address |
906 Bethlehem Pike Erdenheim PA 19038-7731 |
| Practice Telephone | 2158363131 |
| Practice Fax Number | 2152735975 |
| Mailing Telephone | 2158363131 |
| Mailing Fax Number | 2152735975 |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | MR. NORMAN E TILSON JR. (CORP SR DIRECTOR OF BUSINESS OPS) |
| Authorized Official Telephone | 2158363131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| NHS Philadelphia | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Rhawn St, Philadelphia, PA 191112918 | 2158363131 | |
| 2242 Afton St, Philadelphia, PA 191524018 | 2158363131 | |
| 6515 N 3rd St, Philadelphia, PA 191263913 | 2158363131 | |
| 6617 N 3rd St, Philadelphia, PA 191263121 | 2158363131 | |
| 6619 N American St, Philadelphia, PA 191263115 | 2158363131 | |
| 7323 Rockwell Ave, Philadelphia, PA 191113005 | 2158363131 | |
| 935 Hartel Ave, Philadelphia, PA 191113201 | 2158363131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811297922 | Merakey Philadelphia | Case Management | 27 East Mt. Airy Ave, Philadelphia, PA 19119 | 2010-10-25 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1447417902 | Merakey Philadelphia | Community/Behavioral Health | 235 W School House Ln, Philadelphia, PA 19144-3845 | 2008-05-21 |
| 1528262409 | Merakey Philadelphia | Community/Behavioral Health | 237 W School House Ln, Philadelphia, PA 19144-3845 | 2007-06-13 |
| 1326264995 | Merakey Philadelphia | Community Based Residential Treatment Facility, Mental Illness | 4501 Fishers Ln, Philadelphia, PA 19124-3051 | 2007-04-18 |
| 1174644488 | Merakey Philadelphia | Intermediate Care Facility, Mentally Retarded | 2016 Robbins Ave, Philadelphia, PA 19149-2921 | 2007-04-03 |
| 1972624393 | Merakey Philadelphia | Intermediate Care Facility, Mentally Retarded | 6915 Germantown Ave, Philadelphia, PA 19119-2115 | 2007-04-03 |
| 1699200956 | Merakey Philadelphia | Community/Behavioral Health | 906 Bethlehem Pike, Erdenheim, PA 19038-7731 | 2017-04-25 |
| 1295117638 | Merakey Philadelphia | Community Based Residential Treatment Facility, Mental Illness | 906 Bethlehem Pike, Erdenheim, PA 19038-7731 | 2015-06-22 |
| 1578703617 | Merakey Philadelphia | Case Management | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2009-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERAKEY PHILADELPHIA | 620 Germantown Pike, Lafayette Hill, PA 19444-1810 |
| Street Address |
1414 SHELMIRE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
| 1801417456 | Detention Management Solutions | Community/Behavioral Health | 967 Clyde Ln, Philadelphia, PA 19128-1141 | 2020-05-05 |
| 1316579923 | Community Council for Mental Health & Mental Retardation Inc. | Community/Behavioral Health | 1211 Chestnut St Fl 8, Philadelphia, PA 19107-4103 | 2020-02-11 |
| 1083257133 | Homes of Humanity, LLC | Community/Behavioral Health | 47 N 51st St, Philadelphia, PA 19139-2726 | 2019-10-22 |
| 1376196147 | Hopeworks Wellness, LLC | Community/Behavioral Health | 2449 Golf Rd Ste 2, Philadelphia, PA 19131-1475 | 2019-07-22 |
| 1144873126 | Wmc | Community/Behavioral Health | 4243 Frankford Ave, Philadelphia, PA 19124-4520 | 2019-07-19 |
| 1336792316 | Wedge Medical Center | Community/Behavioral Health | 3600 Germantown Ave, Philadelphia, PA 19140-4226 | 2019-07-19 |
| 1619533098 | Sankofa Healing Studio | Community/Behavioral Health | 1415 N Broad St Ste 221c, Philadelphia, PA 19122-3325 | 2019-05-11 |
| 1902369234 | Resouces for Human Development, Inc. | Community/Behavioral Health | 227 E Garrett St, Philadelphia, PA 19119-2107 | 2019-04-12 |
| 1952875114 | Mcpherson Clinical & Consulting Services, LLC | Community/Behavioral Health | 2219 N Broad St Apt 1a, Philadelphia, PA 19132-4529 | 2019-01-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on MERAKEY PHILADELPHIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.